1. Case Study of MH BY BRENDA WIMBERLYNOVEMBER 2011 ASSESSMENT COUN 621

2. Client Description Caucasian male University of Mississippi student Academic problems Diagnosed with ADHD Repeat EDHE student Previous issues with depression 3. Purpose of Assessments BASIS-A Determine purpose of behavior Identify ways of perceiving self and others Help client with problem solving Beck Depression Inventory (BDI-II) Previous counselor reported depression Determine if depression still exists Client presents with sense of failure and lack of self-satisfaction 4. Assessment Procedures and Protocol Discuss testing protocol with site supervisor Identify ethically appropriate instruments BASIS-A 3rd meeting Self scored instrument 65 questions Two dimensions: Life Style Themes (BASIS-A) General Approach to Life (HELPS) Beck Depression Inventory (BDI-II) 6th meeting 21 questions 5. Medical/Developmental/Psychiatric History Diagnosed with ADHD in high school Sees local Family Practicephysician for medication Does not like having to take Adderall only takes it when he feels itis necessary Father also has ADHD Previously identified as depressed by EDHE counselor No other medical history reported 6. Familial Psychiatric History No reported history of psychiatric issues in family 7. School/Academic History Client reports having focus issues since high school Prescribed Adderall to help with focus problems took it daily foryears, but only takes it now when he needs to study for a test or hasa big project Average to low grades in college. Passed EDHE 202 in the spring of2011 Had to re-enroll in EDHE 202 because of grade point average Failed a MIS class because of a problem with group project 8. Home Behavior/Social Oldest child has one sister Very close to his sister she gives him moral support Has very few friends at Ole Miss because most of them have alreadygraduated Socializes with his room mates watching sports on television Does not like to party finds it difficult to make new friends Does not report being in a romantic relationship 9. Assessments & Appropriate Interpretations BASIS-A Used to help clients recognize the interaction of personality dynamics developed as a child and current problem solving strategies Measures five personality styles Internal consistency est. (Coefficients ranging from .82 to .87) Validity of the structure of the scales (supported when correlated with other instruments) Beck Depression Inventory (BDI-II) Reliability (Coefficient Alpha = .92) 21 items that assess the force of depression in clinical and normal patients Increased content validity Factorial validity 10. Summary of Findings BDI-II Total score = 8 (minimal range) no longer depressed BASIS-A Belonging (BSI) Sees himself as supportive and cooperative, but may be assertive Going Along (GA) Tends to be an independent thinker but may be viewed as aggressive when stressed Taking Charge (TC) May be viewed as assertive Wanting Recognition (WR) May not be concerned about approval of others (Incongruity: HELP Scale of Entitlement indicates he may enjoy special attention from others Being Cautious (BC) May avoid conflict 11. DSM Diagnosis Axis I 314.01 Attention-Deficit/Hyperactivity Disorder, Combined Type Axis II V71.09 (No Diagnosis) Axis III None Axis IV Father recently underwent heart surgery Graduation from college delayed Academic Problems Previous issues with depression Axis V GAF = 71 (current) 12. Treatment plan and Recommendations Monitor ADHD medication Follow up with Family Practitioner Possibly adjust level of medication Monitor depression Determine triggers of past depression Help client learn approaches to deal with depression Help client recognize incongruities Use unconditional positive regard and empathy to continue to build therapeutic relationship with the client Use reflection to assist the clients growth Review the results of BASIS-A assessment 13. References Beck, A. T., Steer, R. A. & Brown, G. K. (1996). Beck DepressionInventory-II. San Antonio, TX: Harcourt Brace. Kern, R. (1998). BASIS-A interpretive key and guide for clinicians.Highlands, NC: TRT Associates, Inc. Kern, R., Rasmussen, P., Byrd, S., & Wittschen, L. (1999). Lifestyle,personality, and attention deficit hyperactivity disorder in youngadults. The Journal of Individual Psychology, 55(2), 186-199.